MEDICARE: DR. WENDY F SWANTKOWSKI DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	21016	TX

General Provider Information

NPI Number	:	1821267972
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WENDY F SWANTKOWSKI DDS

Provider Business Mailing Address
First Line	:	14011 MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-6826
Country	:	US
Telephone Number	:	281-293-9140
Fax Number	:	281-293-9127

Provider Business Practice Location Address
First Line	:	14011 MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77079-6826
Country	:	US
Telephone Number	:	281-293-9140
Fax Number	:	281-293-9127

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/22/2008
Last Update Date	:	08/27/2008

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